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How Young Can You Test?


angie315

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angie315 Apprentice

My oldest daughter (4 years) was recently diagnosed with Celiac (via blood & biopsy). How accurate are the blood test for very young children. My youngest is only 14 months and my ped. just gave me an order to get her her blood work done. The only sign that she is showing is a very bloated belly at the end of the day and her weight % is starting to drop. I would love to know now if she has celiac now so that I can get her gluten-free immediately. I keep reading that testing can be unreliable in young children.


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Ursa Major Collaborator
My oldest daughter (4 years) was recently diagnosed with Celiac (via blood & biopsy). How accurate are the blood test for very young children. My youngest is only 14 months and my ped. just gave me an order to get her her blood work done. The only sign that she is showing is a very bloated belly at the end of the day and her weight % is starting to drop. I would love to know now if she has celiac now so that I can get her gluten-free immediately. I keep reading that testing can be unreliable in young children.

Angie, it sounds like your baby may have celiac disease as well. But unless she is extremely ill (as in near death) it is highly unlikely that her tests will show anything. At that age diet response is the most reliable test.

Seriously, she is starting to show celiac disease symptoms. Do you really want to wait until she is failure to thrive and really ill and tests positive, or would you like to prevent her from getting so sick that her development pretty much stops? And that goes for not just physical development, celiac disease will affect the brain, too.

You older daughter has celiac disease. It is genetic, and so it is very likely that other kids in your family (plus at least one parent) will have it as well. If your baby was mine, I would put her on a gluten-free/casein free diet immediately to prevent her from getting very ill, and to make sure there will be no long-term damage. Plus, of course, children with undiagnosed and untreated celiac disease are more likely to develop juvenile diabetes as well. A risk I would never willingly take if I'd suspect celiac disease in a young child.

pinkdljj Rookie
My oldest daughter (4 years) was recently diagnosed with Celiac (via blood & biopsy). How accurate are the blood test for very young children. My youngest is only 14 months and my ped. just gave me an order to get her her blood work done. The only sign that she is showing is a very bloated belly at the end of the day and her weight % is starting to drop. I would love to know now if she has celiac now so that I can get her gluten-free immediately. I keep reading that testing can be unreliable in young children.

Hi,

I had my 15 month old tested via her pediatrician after 4 weeks of diarrhea. Everything came back normal. I refused to believe it so I had her tested through Enterolab. Her antibodies for gluten are already way above normal and she has two sets of celiac genes. I took her off wheat asap and her diarrhea disappeared. I have either celiac or gluten intolerance and carry the genes so I knew it was the same fo her.

Enterolab was great. I just sent in a stool sample and within 2 weeks they had the results posted online. And, they can be off gluten and be tested.

Take care,

Leslie

dbmamaz Explorer

I just want to let you know you arent alone in this struggle. My neighbor had a severely colicky baby, who basically didnt sleep the first few weeks at all unless sitting, and screamed all the time. Her doctors just kept giving her meds for reflux, but finally she told her husband to look up things on line. He suggested removing major allergens from HER diet - and it worked - the colick was gone and he became a fat and happy baby.

When he started on solids, the first few times she tried anything with wheat, he got sick/ear infection. The last time, she fed him wheat for almost 2 weeks and he became crying and miserable again. She took the wheat away, and he's back to being fat and happy.

She went to her doctor, who suggested taking the test - but she insisted that the test isnt accurate if the child is gluten-free (we have another neighbor w a celiac toddler). She contacted a pediatric gastroenterologist who said her son would have to be on gluten for 6 months for the testing to be accurate.

So now she's really unsure what to do. She doesnt want to put him back on gluten for 6 months, when she knows it will be awful, esp since false negatives are so common on young ones (her son is only around 6 mo). They are doing allergy tests next, and I suggested the genetic test - but its really hard with little ones.

However, since you already have plenty of gluten-free food in the house, it might be easy to do a food challenge and see what YOU think - take the little one off gluten for 2 weeks and then put him back on it, and see if you see a difference.

Good luck

angie315 Apprentice

Question about Enterolab. I saw that it was pretty expensive. Did you submit to insurance and if so, did they pay it entirely?

Hi,

I had my 15 month old tested via her pediatrician after 4 weeks of diarrhea. Everything came back normal. I refused to believe it so I had her tested through Enterolab. Her antibodies for gluten are already way above normal and she has two sets of celiac genes. I took her off wheat asap and her diarrhea disappeared. I have either celiac or gluten intolerance and carry the genes so I knew it was the same fo her.

Enterolab was great. I just sent in a stool sample and within 2 weeks they had the results posted online. And, they can be off gluten and be tested.

Take care,

Leslie

pinkdljj Rookie
Question about Enterolab. I saw that it was pretty expensive. Did you submit to insurance and if so, did they pay it entirely?

My insurance company did not cover any of it. It was almost $400 to test her. It was worth it though. Now I know for sure she is a gene carrier and her body is not tolerating gluten, something her doctor couldn't diagnose.

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    • Samanthaeileen1
      thank you RMJ! That is very helpful advice. Good to know we aren’t crazy if we don’t do the endoscopy. We are going to try the gluten free and see how symptoms and levels improve.    thank you Wheatwacked (love the username lol) that is also reassuring. Thankfully she has an amazing and experienced pediatrician. And yesss I forgot to mention the poop! She has the weirdest poop issues.    How long did it take y'all to start seeing improvement in symptoms? 
    • Wheatwacked
      My son was diagnosed when he was weaned in 1976 after several endoscopies.  Given your two year old's symptoms and your family history and your pediatrition advocating for the dx, I would agree.  Whether an endoscopy is positive or negative is irrelevant.   That may happen even with endoscopy.  Pick your doctors with that in mind. In the end you save the potential trauma of the endoscopy for your baby.   Mine also had really nasty poop.  His doctor started him on Nutramigen Infant because at the time it was the only product that was hypo allergenic and had complete nutrition. The improvement was immediate.
    • RMJ
      So her tissue transglutaminase antibody is almost 4x the upper end of the normal range - likely a real result. The other things you can do besides an endoscopy would be: 1.  Genetic testing.  Unfortunately a large proportion of the population has genes permissive for celiac disease, but only a small proportion of those with the genes have it. With family history it is likely she has the genes. 2.  Try a gluten free diet and see if the symptoms go away AND the antibody levels return to normal. (This is what I would do). Endoscopies aren’t always accurate in patients as young as your daughter. Unfortunately, without an endoscopy, some doctor later in her life may question whether she really has celiac disease or not, and you’ll need to be a fierce mama bear to defend the diagnosis! Be sure you have a good written record of her current pediatrician’s diagnosis. Doing a gluten challenge for an endoscopy later in life could cause a very uncomfortable level of symptoms.   Having yourself, your husband and your son tested would be a great idea.  
    • Samanthaeileen1
      here are the lab ranges.  Normal ranges for tissue transglutaminase are: <15.0 Antibody not detected > or = 15.0 Antibody detected normal for endomysial antibody is < 1.5. So she is barely positive but still positive. 
    • JoJo0611
      I have been diagnosed with coeliacs disease today after endoscopy, bloods and CT scan. I have also been diagnosed with Mesenteric Panniculitis today. Both of which I believe are autoimmune diseases. I have been told I will need a dexa scan and a repeat CT scan in 6 months. I had not even heard of Mesenteric Panniculitis till today. I don’t know much about it? Has anyone else got both of these. 
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